Helen writes to Dave Prentis UNISON General Secretary about PPE for care workers

Helen Davies, Barnet UNISON Branch Chair and UNISON NEC rep for London sent the email below to Dave Prentis UNISON General Secretary on Tuesday 14 April 2020. 

“Dear Gill, Christina and Dave,
First, I hope you are well.
As you can see below many of our care workers are reporting alarming conditions about PPE where they work. The social care workforce is in an even weaker place than our colleagues in health as they have the worst terms and conditions and the intense fragmentation through privatisation has bedevilled even those who are trying to do the right thing. We are taking up the issues with the Council and the employers but they simply point to PHE guidance which they say they are following. Our national union is best placed to challenge the nonsense of the guidance.
The key question which I think UNISON needs to address urgently is PHE guidance, which is at best flimsy. It is difficult to work your way round their website and the guidance is caveated so many times over that it is wide open to interpretation. This is handy for settings which are seeking to ration PPE. My members tell me this is happening and has happened leading to outbreaks and deaths which are COVID related. In other words they were preventable.
PHE continues to perpetuate a myth, which I think only they believe in, that unless you have the symptoms of CV19 you cannot transmit it. This flies in the face of the experience of our care workers working in care homes. UNISON needs to come out and highlight the lunacy which then employers use to deny PPE. UNISON also needs to be quite strong telling care workers it’s ok to refuse to work in a setting which is unsafe until and unless they are given the proper protection – that UNISON will defend them in court.
If it’s not possible to catch CV19 from someone who is a-symptomatic why are we advocating social distancing? How have so many bus drivers died? Why are people who never go out of their setting contracting the virus and dying? Why would public messaging (nationally and repeated by our council below) suggest “anyone can transmit it” but then deny PPE to those delivering personal care because neither service user nor worker are displaying CV19 symptoms?
The RCN has come out strongly defending its members and we should do the same. I think we have to be clear on our national website and with emails and text messages that the union is advocating you refuse to work and we will defend you if you are not being provided with the right equipment which we are saying needs to be mask and eye protection, gloves and gown on EVERY occasion you provide personal care to ANYONE.
https://news.sky.com/story/coronavirus-nurses-should-refuse-to-work-if-they-arent-given-ppe-new-guidance-says-11972124
Because our care workers are working without PPE and because they believe they have to we now have hundreds of vulnerable people succumbing to CV19 and careworkers trailing the disease home to their loved ones who may be equally vulnerable,
Thanks,
Helen”

Barnet UNISON will publish the response to our members as soon as it arrives

Housing Services Restructure

HOUSING MEMBERS

 

As you are well aware the situation in regard to Corona Virus is changing on daily basis, I have done my best to consult with UNISON members on the latest set of proposals from management.

 

In general, the opinion is, that given the crisis we are all facing, this would not be an expedient time to launch a dispute – UNISON members are more concerned with service  delivery to our vulnerable tenants.

 

However,

 

There is still an ongoing concern that there are issues with the restructure that have not been addressed and will need to be scrutinised by UNISON members before implementation.

 

So although UNISON are not declaring a dispute at the present time, due to the unprecedented circumstances we all find ourselves in, we are reserving the right to revisit the issues which are still outstanding and should UNISON members decide, declare a dispute before the full implementation of the proposals or when circumstances have returned to ‘normal’  [whenever that is]

 

 

 

BREAKING NEWS: updated guidance from Public Health on COVID-19: infection prevention and control

BREAKING NEWS: updated guidance from Public Health on COVID-19: infection prevention and control

For full details click on link here

https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control

Main changes to previous guidance

The main changes are:

  • enhanced PPE recommendations for a wide range of health and social care contexts
  • inclusion of individual and organisational risk assessment at local level to inform PPE use
  • recommendation of single sessional (extended) use of some PPE items
  • re-usable PPE can be used. Advice on suitable decontamination arrangements should be obtained from the manufacturer, supplier or local infection control
  • guidance for when case status is unknown and SARS-CoV-2 is circulating at high levels
  • recommendation on patient use of facemasks

(Source: https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-personal-protective-equipment-ppe )

 

Below are links to various groups of staff and the PPE required.

 

1. COVID-19 personal protective equipment (PPE) Updated 2 April 2020

https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-personal-protective-equipment-ppe

 

2. Additional considerations, in addition to standard infection prevention and control precautions, where there is sustained transmission of COVID-19, taking into account individual risk assessment for this new and emerging pathogen, NHS and independent sector

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/877603/T4_Additional_considerations_of_COVID-19_poster.pdf

 

3. Recommended PPE for primary, outpatient and community care by setting, NHS and independent sector

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/877599/T2_Recommended_PPE_for_primary_outpatient_and_community_care_by_setting_poster.pdf

 

4. Recommended PPE for healthcare workers by secondary care inpatient clinical setting, NHS and independent sector

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/877728/T1_Recommended_PPE_for_healthcare_workers_by_secondary_care_clinical_context_poster.pdf

Care workers:“What protection is in place for workers in care settings?”

1. What are Public Health advising should be in place in care settings where a resident has COVID-19?

The link below provides details of what types of mask you should be wearing if working with someone with COVID-19

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/874411/When_to_use_face_mask_or_FFP3.pdf

 

2. Public Health England advice for standard infection control principles that should be in place in all health and care settings.

If you work in a care setting and you have residents with COVID-19 make sure you read this guidance as it provides details of what type of PPE you need to wear.

https://www.barnetunison.me.uk/wp/wp-content/uploads/2020/04/Interim-IPC-advice-for-care-homes_v1.2_20200318.pdf

 

Public Health England are stating that if residents or staff are not showing symptoms there is no risk of sharing or contracting the virus, therefore staff do not need to wear the PPE that is required when working with residents with COVID-19.

Barnet Group – temporary-changes-to-workplace-policies-and-procedures

Barnet Group -COVID-19 – temporary-changes-to-workplace-policies-and-procedures

 

As coronavirus (also known as COVID-19) continues to spread, we recognise that our organisation needs to adapt its ways of working.

We want to help reduce the spread of coronavirus and safeguard the welfare of our staff during the coronavirus outbreak, while continuing our operations as normally as possible.

This policy explains what temporary changes we are making to our usual policies and procedures on sickness absence, flexible working, travel, and annual leave during the global health crisis.

Sickness absence

Sickness absence reporting

What is our normal policy?

Under our normal sickness absence policy, if you fall ill and cannot attend work, you would be required to:

  • notify your line manager before you are due to start work, or as soon as possible if that is not practical; and
  • provide medical evidence (typically, a fit note from your doctor) for sickness of more than seven calendar days’ absence.

What is changing temporarily?

During the coronavirus situation, it is vital that you do not attend work if you fall ill and experience any common coronavirus symptoms. These are:

  • a fever;
  • a dry cough; and
  • shortness of breath.

You should still notify your line manager of your absence before you are due to start work, or as soon as possible if that is not practical.

However, we recognise that you may be legitimately absent without having written medical evidence (typically, a fit note from your doctor). If you are given medical advice to self-isolate, we will not ask you to provide written medical evidence after seven calendar days’ absence.

This is because public health advice is that, if you show symptoms, you should avoid going to your doctor or a hospital to prevent infection from spreading. You may have been given medical advice via telephone from NHS 111 to self-isolate.

You will still be expected to:

  • explain to your line manager what medical advice you have been given and from whom; and
  • keep in regular contact with your line manager.

Given the coronavirus situation, you must make sure that your contact details are up-to-date on iTrent and your line manager has a telephone number and email address where they can reach you if you are in self-isolation.

Acceptable levels of absence

What is our normal policy?

Under our sickness absence policy, the formal procedures for managing sickness absence may be triggered as a result of:

  • 10 or more working days of sickness absence during a rolling 12 month period;
  • 4 or more episodes of sickness absence during a rolling 12 month period;
  • a single absence of 15 or more working days (long-term sickness absence);
  • any sickness that gives cause for concern or where early intervention might help.

in the previous 12 months.

What is changing temporarily?

If you are given medical advice to self-isolate (for example from NHS 111), or we ask you to self-isolate, we will not take this absence into account when determining whether or not we are taking formal action under our  sickness absence management procedure.

Sick pay

What is our normal policy?

You would normally receive, if eligible, statutory sick pay (SSP) where:

  • you have a period of sickness absence from work of at least four calendar days in a row; or
  • during sickness absence you are normally entitled, in any 12-month period to receive sick pay as defined in your contract which would reduce to half pay or no pay

What is changing temporarily?

You will be paid full pay if:

  • we have asked you to stay away from the workplace and self-isolate; or
  • you are self-isolating in response to medical advice from NHS 111, your doctor, or a local health protection team.

 

 

 

Flexible working

Requests for flexible working

What is our normal policy?

Under our flexible working policy, you can normally agree informally with your line manager to one-off or short-term changes to your working patterns or periods of homeworking.

However, if you wish to change your working patterns or work from home for an extended period, we normally ask you to make a formal request for flexible working and follow the procedure set out in our policy on employees requesting flexible working.

What is changing temporarily?

As long as the organisation’s operational needs continue to be met, you will be able to:

  • adapt your working patterns, for example to allow you to travel on public transport at less crowded times; or
  • work from home if your role allows for this,

for an extended period without having to follow our formal procedure. You can agree informally with your line manager to these changes.

You should speak to your line manager if you wish to take advantage of either of these options, or any other flexible working options that may help you at this time. However, the decision as to whether or not to agree to your request for flexible working remains with your line manager.

Once agreed, the temporary flexible working arrangement will continue until further notice. If circumstances change, your manager will discuss with you any adaptations to, or the withdrawal of, the flexible working arrangement, with the final decision remaining with your manager.

Requirement to work remotely

What is our normal policy?

Except by prior agreement with us, we do not normally require you to work remotely for an extended period.

There is normally no expectation that:

  • if you use a laptop, you always take it home with you after work each day.

What is changing temporarily?

Given the current global health situation, you may be asked to work remotely at short notice. This could be the case if our workplace closes unexpectedly as a precaution or public health measures, such as an area-wide lockdown, are introduced.

This could mean working from home, although you may have the option to work remotely from one of our other work sites if it remains open.

If it is not possible for you to work from home, you should discuss your options with your line manager.

You should ensure that, where possible, you take your laptop home with you after work each day.

You should contact the IT department if you have any queries about the remote-working system.

Travel

Non-work-related travel

What is our normal policy?

We do not normally have any rules around staff travelling outside work.

What is changing temporarily?

If you have been in a restricted area since the beginning of March 2020, you must inform your line manager immediately.

If you plan to travel to a restricted area in your own time, for example on a holiday or for family reasons, you must inform your line manager before you depart of where you are going.

You must not come to work on your return. Even if you have no symptoms, we will ask you to self-isolate for 14 days after your return from the restricted area.

On your return from a restricted area, your first step should be to visit the 111.nhs.uk website, where you can get further medical advice via telephone. You should do this even if you do not have any symptoms.

If possible, you should avoid going to your doctor or a hospital to prevent infection from spreading.

Annual leave

Changing your holiday plans

What is our normal policy?

Once you have booked annual leave, we normally allow you to cancel or change annual leave only in limited circumstances. These circumstances include where:

  • your personal circumstances warrant it and the cancellation or change does not inconvenience the organisation; or
  • you fall ill shortly before or during annual leave.

 

 

What is changing temporarily?

During the coronavirus situation, you may change your mind about travelling, or be unable to travel to your planned destination, and may wish to cancel or change annual leave that you have already booked.

If you would like to cancel or change planned leave, please speak to your line manager. We may allow you to change or cancel booked holiday, taking into account the coronavirus situation. However, this will continue to be a decision for your line manager, depending on the circumstances.

For example, if we have arranged cover for you, or arranged shift patterns on the basis that you will be on leave, we may require you to take the leave as booked.

Unused annual leave

What is our normal policy?

Our organisation’s holiday year runs from 1 April to 31 March.

Normally, we require you to take your holiday entitlement in the relevant holiday year and we allow you to carry over no more than[five days’ annual leave into the following leave year.

What is changing temporarily?

We recognise that you may be unable to take your remaining annual leave before the end of the leave year. For example, you could have an increased workload because of the coronavirus situation, or you may have cancelled or changed planned annual leave.

We are suspending our usual rule that / you can carry over no more than five days’ annual leave into the following leave year

While you should endeavour to take your holiday entitlement in the relevant holiday year, you should speak to your line manager if you think that you will be unable to do so.

As long as your line manager agrees, the annual leave can be taken later. The timing is a matter for discussion between you and your line manager.

 

 

 

OUTBREAKS OF COVID-19 IN CARE HOMES: INFECTION CONTROL MEASURES

Barnet UNISON has received a large number of concerns from careworkers who, now, like NHS staff are caring for individuals who have become infected with Coronavirus.

All care settings MUST comply with the advice set out by Public Health England. Please contact us if you are working in a setting where these minimal standards are not being adhered to.

Contact us on 0208 359 2088 (leave a message)

or email us at

contactus@barnetunison.org.uk

if you have any further concerns.

“Droplet precautions, isolation and personal protective equipment (PPE):

  • Care homes are not expected to have dedicated isolation facilities for people living in the home.
  • Isolation precautions should be implemented in the same way care homes operate for influenza.
  • A resident’s own room can be used if isolation is needed, ideally a single bedroom with en-suite.
  • If this is not possible, discuss the option of cohorting with your local PHE health protection team.

Staff should use PPE for close personal contact with a symptomatic resident or bodily fluids.

  • Aprons, gloves and fluid repellent surgical masks should be used in these situations.
  • If there is a risk of splashing, then eye protection will minimise risk.
  • New PPE must be used for each episode of care.
  • On leaving the resident’s room, PPE should be removed, and hand hygiene performed immediately, as per standard infection control precautions.
  • Isolation may end after 7 days from illness onset, so long as the case feels better and has no fever.”

Read full guidance by click link below.

Interim IPC advice for care homes_v1.2_20200318

When to use a surgical face mask or FFP3 respirator: Government Guidance

© Crown copyright 2020. Public Health England Gateway number 2019 271

“When caring for patients with suspected or confirmed COVID-19, all healthcare workers need to – prior to any patient interaction – assess the infectious risk posed to themselves and wear the appropriate personal protective equipment (PPE) to minimise that risk.”

Click on the link for full advice

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/874411/When_to_use_face_mask_or_FFP3.pdf

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